Korean J Pediatr.
2009 Oct;52(10):1167-1170. 10.3345/kjp.2009.52.10.1167.
A case of gastric trichobezoar causing psychiatric problems
- Affiliations
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- 1Department of Pediatrics, Soonchunhyang University Hospital, Gumi, Korea. ped0921@hanmail.net
- 2Department of Pediatrics, Soonchunhyang University Hospital, Bucheon, Korea.
- 3Department of Radiology, Soonchunhyang University Hospital, Gumi, Korea.
- KMID: 2281061
- DOI: http://doi.org/10.3345/kjp.2009.52.10.1167
Abstract
- Trichobezoar is characterized by the accumulation of hair in the gastrointestinal tract and usually occurs in those who have trichotillomania, other psychiatric disorders, or neurologic problems. Trichobezoar typically presents as gastric obstruction, including abdominal pain, vomiting, anorexia, and weight loss. A 9-year-old girl visited our clinic with the complaint of abdominal discomfort and vomiting. A review of her medical history revealed that she had trichophagia since the age of 5, and she felt that her parents had been strict with her. She underwent gastrotomy, during which a large trichobezoar was removed. This case highlights the importance of psychiatric and comprehensive approaches in patients with trichobezoar.
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